Individual provider Active NPI

Steven Leibowitz, M.D.

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1679631014
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P0702276J081992 Issued in NV
Practice address
653 N Town Center Dr Ste 102
Las Vegas, NV 89144-0515
Phone
(702) 242-5555
Fax
(702) 255-9308
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X P0702276J081992 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 102
Las Vegas, NV 89144-0515

Mailing address

653 N Town Center Dr Ste 102
Las Vegas, NV 89144-0515
Phone (702) 242-5555

Other identifiers 1

IdentifierTypeStateIssuer
002019256MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040218000736 CA Practitioner - Ophthalmology 6901791995 Reassigns benefits to 1 organization
I20101215000731 NV Practitioner - Ophthalmology 6901791995 Reassigns benefits to 1 organization
I20140515000043 AZ Practitioner - Ophthalmology 6901791995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2110 Airway Ave
Kingman, AZ 86409-3652
Phone (702) 242-5555

653 N Town Ctr Dr
Suite 102
Las Vegas, NV 89144-0515

8641 Wilshire Blvd
Suite 312
Beverly Hills, CA 90211-2921

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42694CAMDLicensed Psychiatric Technician
P0702276J081992NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Leibowitz MD Inc CurrentSince Dec 10, 1998 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

2110 Airway Ave
Kingman, AZ 86409
Phone (928) 681-1800

5301 Truxtun Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 323-6200

8641 Wilshire Blvd
Ste 312
Beverly Hills, CA 90211
Phone (310) 272-0808

42543 8th St W
Ste 105
Lancaster, CA 93534
Phone (661) 948-4361

100 UCLA Medical Plz
Ste 747
Los Angeles, CA 90024
Phone (310) 794-6555

653 N Town Center Dr
Ste 102
Las Vegas, NV 89144
Phone (702) 242-5555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1679631014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-242-5555",
            "fax_number": "702-255-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-242-5555",
            "fax_number": "702-255-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "P0702276J081992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019256",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.